NPIMap

Individual provider Active NPI

Evelyn Angela Causgrove

  • Physician Assistant
  • Crete, NE
National Provider Identifier
1558057844
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2910 Betten Dr
Crete, NE 68333-3084
Phone
(702) 826-2102
NPI assigned
Apr 11, 2023
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2910 Betten Dr
Crete, NE 68333-3084

Mailing address

2910 Betten Dr
Crete, NE 68333-3084
Phone (402) 826-2102

Other practice location 1

202 High St
Tecumseh, NE 68450-2443
Phone (402) 335-3361

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JohnsonCountyHospital@jchosp.cernerdirect.com Direct Johnson County Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907002168 NE Practitioner - Physician Assistant 7012371198 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Community HospitalGroup PAC ID 7113831926, 27 clinicians

Practice addresses (Care Compare)

1301 Grundman Blvd
Suite a
Nebraska City, NE 68410-3320
Phone (402) 873-4242

2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
York General Hospital CurrentSince Oct 1, 2025 Accepting new patients
Johnson County Hospital CurrentSince Jun 1, 2024 Accepting new patients
Jefferson Community Health Center Inc Physician Assistant CurrentSince May 23, 2024 Accepting new patients
York General Hospital CurrentSince Oct 1, 2025 Accepting new patients
Johnson County Hospital CurrentSince Jun 1, 2024 Accepting new patients
St. Mary's Community Hospital CurrentSince May 15, 2025 Accepting new patients
York General Hospital CurrentSince Oct 1, 2025 Accepting new patients
York General Hospital Past Accepting new patients

Locations

2200 H St
Fairbury, NE 68352
Phone (402) 729-3351

1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420

Interoperability endpoints

  • Direct secure messaging: johnsoncountyhospital@jchosp.cernerdirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1558057844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BETTEN DR",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333084",
            "telephone_number": "402-826-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BETTEN DR",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333084",
            "telephone_number": "702-826-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 High St",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "NE",
            "postal_code": "684502443",
            "country_code": "US",
            "telephone_number": "402-335-3361",
            "fax_number": "402-335-6342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUSGROVE",
        "first_name": "EVELYN",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JohnsonCountyHospital@jchosp.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Johnson County Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 High St",
            "city": "Tecumseh",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684502443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crete, NE

Sources for this page

Verify at the official NPI Registry.